- Enrollment id
- O20040122000791
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1790831741
- Multiple npi flag
- N
- Ccn
- 453150
- Associate id
- 3072415876
- Organization name
- CHARLIN HEALTHCARE SERVICES, INC.
- Doing business as name
- CHARLIN HEALTHCARE SERVICES
- Incorporation date
- 2003-09-12
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 400 CHISHOLM PL
- Address line 2
- SUITE 400
- City
- PLANO
- State
- TX
- Zip code
- 750756911